Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-16T16:30:28.879Z Has data issue: false hasContentIssue false

Mental health literacy about depression and schizophrenia among adolescents in Sweden

Published online by Cambridge University Press:  15 April 2020

P.A. Melas*
Affiliation:
Department of Molecular Medicine and Surgery, Neurogenetics Unit, Karolinska Institutet, Center for Molecular Medicine, Stockholm, Sweden Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden
E. Tartani
Affiliation:
Department of Public Health Sciences, Public Health Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden
T. Forsner
Affiliation:
Department of Public Health Sciences, Public Health Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden
M. Edhborg
Affiliation:
Department of Neurobiology, Caring Sciences and Society, Nursing Unit, Karolinska Institutet, Stockholm, Sweden
Y. Forsell*
Affiliation:
Department of Public Health Sciences, Public Health Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden
*
*Corresponding author. Department of Molecular Medicine and Surgery, Neurogenetics Unit, Karolinska Institutet, CMM L8:00, Karolinska University Hospital, 17176 Stockholm, Sweden. Tel.: +46 8 51775541; fax: +46 8 51773909. E-mail addresses:Philippe.Melas@ki.se (P.A. Melas)
**Co-corresponding author. Department of Public Health Sciences, Public Health Epidemiology Unit, Karolinska Institutet, S1:04 Norrbacka, Karolinska University Hospital, 17176 Stockholm, Sweden. Tel.: +46 8 52480108. E-mail addresses:Yvonne.Forsell@ki.se (Y. Forsell).
Get access

Abstract

Background

Mental health literacy (MHL) refers to an individual's knowledge of mental disorders, including the ability to recognize psychopathology and being aware of help options. Most studies of MHL have focused on adults.

Objective

The purpose of this study was to examine levels of MHL among adolescents.

Methods

MHL was examined using two pre-established vignettes that presented an adolescent with symptoms of either depression or schizophrenia. The respondents were 426 adolescents (age mean = 16). Vignette data were analyzed both qualitatively and quantitatively.

Results

The data showed that 42.7% and 34.7% of the respondents identified depression and schizophrenia, respectively. Depression was recognized more often by females than males. Professional help was suggested by a minority of the respondents for managing symptoms of depression (22.5%) or schizophrenia (32.6%). Altruistic behaviors, examined through the willingness to help an acquaintance with mental illness symptoms, were apparent among 58.2% of the respondents and to a greater extent in females than males. Answers following the schizophrenia vignette also revealed stigmatizing attitudes in 11.5% of the participants.

Conclusions

There are relatively low levels of MHL among teenagers in Sweden. Awareness campaigns and the implementation of psychoeducation in the school curriculum could increase MHL in this group.

Type
Original article
Copyright
Copyright © European Psychiatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

1

These authors contributed equally to this work.

References

Andreoni, J, Vesterlund, LWhich is the fair sex? Gender differences in altruism. Q J Econ 2001;116:293312.CrossRefGoogle Scholar
Angermeyer, MC, Matschinger, H, Riedel-Heller, SGWhom to ask for help in case of a mental disorder. Preferences of the lay public. Soc Psychiatry Psychiatr Epidemiol 1999;34:202210.CrossRefGoogle ScholarPubMed
Bailey, SYoung people, mental illness and stigmatisation Psychiatr Bull 1999;23:107110CrossRefGoogle Scholar
Burke, KC, Burke, J.D. Jr., Regier, DA, Rae, DSAge at onset of selected mental disorders in five community populations. Arch Gen Psychiatry 1990;47:511518.CrossRefGoogle ScholarPubMed
Burnard, PA method of analysing interview transcripts in qualitative research. Nurse Educ Today 1991;11:461466.CrossRefGoogle ScholarPubMed
Burns, JR, Rapee, RMAdolescent mental health literacy: young people's knowledge of depression and help seeking. J Adolesc 2006;29:225239.CrossRefGoogle ScholarPubMed
Byrne, PPsychiatric stigma: past, passing and to come. J R Soc Med 1997;90:618621.CrossRefGoogle ScholarPubMed
Chandra, A, Minkovitz, CFactors that influence mental health stigma among 8th grade adolescents. J Youth Adolesc 2007;36:763774.CrossRefGoogle Scholar
Corrigan, PW, Lurie, BD, Goldman, HH, Slopen, N, Medasani, K, Phelan, SHow adolescents perceive the stigma of mental illness and alcohol abuse. Psychiatr Serv 2005;56:544550.CrossRefGoogle ScholarPubMed
Cotton, SM, Wright, A, Harris, MG, Jorm, AF, McGorry, PDInfluence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry 2006;40:790796.CrossRefGoogle ScholarPubMed
Dahlberg, KM, Waern, M, Runeson, BMental health literacy and attitudes in a Swedish community sample - investigating the role of personal experience of mental health care. BMC Public Health 2008;8:8.CrossRefGoogle Scholar
Farrer, L, Leach, L, Griffiths, KM, Christensen, H, Jorm, AFAge differences in mental health literacy. BMC Public Health 2008;8:125.CrossRefGoogle ScholarPubMed
Fisher, LJ, Goldney, RDDifferences in community mental health literacy in older and younger Australians. Int J Geriatr Psychiatry 2003;18:3340.CrossRefGoogle ScholarPubMed
Goldney, RD, Fisher, LJ, Wilson, DHMental health literacy: an impediment to the optimum treatment of major depression in the community. J Affect Disord 2001;64:277284.CrossRefGoogle Scholar
Gore, FM, Bloem, PJ, Patton, GC, Ferguson, J, Joseph, V, Coffey, C, et al.Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet 2011;377:20932102.CrossRefGoogle ScholarPubMed
Graneheim, UH, Lundman, BQualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105112.CrossRefGoogle ScholarPubMed
Hugo, CJ, Boshoff, DE, Traut, A, Zungu-Dirwayi, N, Stein, DJCommunity attitudes toward and knowledge of mental illness in South Africa. Soc Psychiatry Psychiatr Epidemiol 2003;38:715719.CrossRefGoogle ScholarPubMed
Jorm, AFMental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry 2000;177:396401.CrossRefGoogle ScholarPubMed
Jorm, AFMental health literacy: empowering the community to take action for better mental health. Am Psychol 2012;67:231243.CrossRefGoogle ScholarPubMed
Jorm, AF, Wright, ABeliefs of young people and their parents about the effectiveness of interventions for mental disorders. Aust N Z J Psychiatry 2007;41:656666.CrossRefGoogle ScholarPubMed
Jorm, AF, Korten, AE, Jacomb, PA, Christensen, H, Rodgers, B, Pollitt, PMental health literacy: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 1997;166:182186.CrossRefGoogle ScholarPubMed
Jorm, AF, Nakane, Y, Christensen, H, Yoshioka, K, Griffiths, KM, Wata, YPublic beliefs about treatment and outcome of mental disorders: a comparison of Australia and Japan. BMC Med 2005;3:12.CrossRefGoogle ScholarPubMed
Jorm, AF, Christensen, H, Griffiths, KMThe impact of beyondblue: the national depression initiative on the Australian public's recognition of depression and beliefs about treatments. Aust N Z J Psychiatry 2005;39:248254.CrossRefGoogle ScholarPubMed
Jorm, AF, Morgan, AJ, Wright, AFirst aid strategies that are helpful to young people developing a mental disorder: beliefs of health professionals compared to young people and parents. BMC Psychiatry 2008;8:42.CrossRefGoogle ScholarPubMed
Kohn, R, Saxena, S, Levav, I, Saraceno, BThe treatment gap in mental health care. Bull World Health Organ 2004;82:858866.Google ScholarPubMed
Langlands, RL, Jorm, AF, Kelly, CM, Kitchener, BAFirst aid for depression: a Delphi consensus study with consumers, carers and clinicians. J Affect Disord 2008;105:157165.CrossRefGoogle ScholarPubMed
Lauber, C, Nordt, C, Falcato, L, Rossler, WDo people recognise mental illness. Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci 2003;253:248251.CrossRefGoogle ScholarPubMed
Magliano, L, Fiorillo, A, De Rosa, C, Malangone, C, Maj, MBeliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients’ relatives. Can J Psychiatry 2004;49:322330.CrossRefGoogle ScholarPubMed
Mann, CE, Himelein, MJFactors associated with stigmatization of persons with mental illness. Psychiatr Serv 2004;55:185187.CrossRefGoogle ScholarPubMed
Merikangas, KR, He, JP, Brody, D, Fisher, PW, Bourdon, K, Koretz, DSPrevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics 2010;125:7581.CrossRefGoogle ScholarPubMed
Offer, D, Howard, KI, Schonert, KA, Ostrov, ETo whom do adolescents turn for help? Differences between disturbed and nondisturbed adolescents. J Am Acad Child Adolesc Psychiatry 1991;30:623630.CrossRefGoogle ScholarPubMed
Oliver, MI, Pearson, N, Coe, N, Gunnell, DHelp-seeking behaviour in men and women with common mental health problems: cross-sectional study. Br J Psychiatry 2005;186:297301.CrossRefGoogle ScholarPubMed
Rachlin, H, Jones, BAAltruism among relatives and non-relatives. Behav Processes 2008;79:120123.CrossRefGoogle ScholarPubMed
Rose, D, Thornicroft, G, Pinfold, V, Kassam, A250 labels used to stigmatise people with mental illness. BMC Health Serv Res 2007;7:97.CrossRefGoogle ScholarPubMed
Ross, AM, Hart, LM, Jorm, AF, Kelly, CM, Kitchener, BADevelopment of key messages for adolescents on providing basic mental health first aid to peers: a Delphi consensus study. Early Intervent Psychiatry 2012;6:229238.CrossRefGoogle ScholarPubMed
Sartorius, NIatrogenic stigma of mental illness. BMJ 2002;324:14701471.CrossRefGoogle ScholarPubMed
Schwartz, C, Meisenhelder, JB, Ma, Y, Reed, GAltruistic social interest behaviors are associated with better mental health. Psychosom Med 2003;65:778785.CrossRefGoogle ScholarPubMed
Simmons, W, Emanuele, RMale-female giving differentials: are women more altruistic. J Econ Stud 2007;34:534550.CrossRefGoogle Scholar
Singh, SPEarly intervention in psychosis. Br J Psychiatry 2010;196:343345.CrossRefGoogle ScholarPubMed
Swami, V, Furnham, A, Kannan, K, Sinniah, DBeliefs about schizophrenia and its treatment in Kota Kinabalu, Malaysia. Int J Soc Psychiatry 2008;54:164179.CrossRefGoogle ScholarPubMed
Wahl, OChildren's views of mental illness: a review of the literature. Psychiatr Rehabil Skills 2002;6:134158.CrossRefGoogle Scholar
WHO International Consortium in Psychiatric Epidemiology Cross-national comparisons of the prevalences and correlates of mental disorders. WHO International Consortium in Psychiatric Epidemiology. Bull World Health Organ 2000;78:413426.Google Scholar
Wright, A, Harris, MG, Wiggers, JH, Jorm, AF, Cotton, SM, Harrigan, SM, et al.Recognition of depression and psychosis by young Australians and their beliefs about treatment. Med J Aust 2005;183:1823.CrossRefGoogle ScholarPubMed
Yap, MB, Jorm, AFYoung people's mental health first aid intentions and beliefs prospectively predict their actions: findings from an Australian National Survey of Youth. Psychiatry Res 2012;196:315319.CrossRefGoogle ScholarPubMed
Yap, MB, Reavley, NJ, Jorm, AFIntentions and helpfulness beliefs about first aid responses for young people with mental disorders: findings from two Australian national surveys of youth. J Affect Disord 2012;136:430442.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.